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Greenland Int'l Sec. B. School
Gongabu-3, Dhapasi, Kathmandu
P. O. Box-4983
355446, 315916(Hostel)

Applied for an enrolment to grade:                              

Boarder          Day -Boarder              Day-Scholar

Name:-                                                                                                                           Gender:- M/F

   

      Year     Month     Day          AD
y 

   Year      Month       Day         BS
y

Date of Birh:-                                                                                                             

Present age:-
Permanent address: -                                       Mun/ VDC                    Ward                                 District          
                                                                      
Zone,  Nepal.                                                         

Temporary Add: -                                            Mun/ VDC                        Ward                                 District          
                                                                       
Zone, Nepal.

Mother's Name
Mrs.: 

Occupation: Household/Job/Business/None
Name and add of office:-

                         
                            Off                                    Res.

Father's Name
Mr.                                        

Occupation :-  Agri/ Job/ Business/None      
Name and add of office:-

                       Off                                   Res.

Local Guardian & Relation

Mr./Mrs.                                                                                           Off                          Res.
 
 Relation :

Note:-If you don't have your own telephone, please give the tel. No. of close relatives/friends/neighbor who may willingly help the school to communicate with you in case of urgency.

Name and address of the last School attended_____________________________________________________

Passed Grade:							                  Total Percentage:-                %

Give clinical history of severe illness in the past (if any):

Give in detail any health problem at present ( if any): 

Name of own Brother/ Sister studying in this or other  Schools.

S.n	Name of Brothers/Sisters	Name of the school	Class		
1					
2					
3					
4					

I declare that the information provided above is true and correct and I would abide by the rules, regulations of the school. I further agree to comply without any argument with the decision of the principal asking me to withdraw my ward from the school on the grounds of indiscipline and lack of progress in his/her study. 

									Signature of Guardian 

Admitted to Grade: -								Roll No: -

Date of admission: -								 Regd: -

    Accountant									 Principal